| NPI | 1609996289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7873) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: MN 7873) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-07-26 |